| NPI | 1902387400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL COULTHURST CEO 678-570-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: GA CLA005765) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |